Rosewood Heights
5700 E CENTRAL TEXAS EXPWY, Killeen, TX, 76543
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Touchstone Communities
- Certified beds
- 64 · avg 53 residents/day
- Total nursing staff turnover
- 57.5% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 64.3% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $62,745 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 308647
- Service type
- Medicare/medicaid
- Licensed capacity
- 64 beds
- Bed type breakdown
- 3 Medicare-only · 61 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Killeen Llc
- Administrator
- Lisa R Stribling
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 28 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (27 on record)
- Touchstone Strategies - Killeen Llc
Adp of The Snf · since 2025
- Biju Oommen
Adp of The Snf · since 2024
- Debbie Palo
Adp of The Snf · since 2024
- Aegis Therapies, Inc.
Adp of The Snf · since 2024
- Alamo Advisors lp
Adp of The Snf · since 2024
- Bryon Sehlke
Operational/managerial Control · since 2024
+ 21 additional owners on the federal record.
Recent change of ownership
June 2022 (3 years ago) · acquired from The Rosewood Retirement Community
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 14)
- E0812·Aug 14, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0803·Aug 14, 2025
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- J0689·Apr 18, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- J0655·Apr 18, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0842·Oct 2, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0760·Sep 9, 2024Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0755·Sep 9, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- J0686·Jul 30, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal penalties
By year
- 20251 fine · $9,193
- 20241 fine · $17K
- 20231 fine · $37K · 1 payment denial
Most recent events
- Apr 18, 2025Fine · $9,193
- Jul 11, 2024Fine · $17K
- Jun 2, 2023Payment denial · 6 days · starting Jul 1, 2023
- Jun 2, 2023Fine · $37K
Largest single fine on record: $37K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Aug 14, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Rosewood Heights is a 64-bed nursing home in Killeen, Texas, licensed since 1971 and managed by Touchstone Strategies Killeen LLC under a hospital district authority. CMS rates it 3 stars overall, with a 2-star health inspection rating offset by a 5-star quality-measures rating. Three CMS fines totaling $62,745 have been levied against the facility. It operates at roughly 82% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Rosewood Heights 3 stars on staffing — a tier shared by about 19% of Texas nursing homes. Each resident receives roughly 237 minutes of nursing care per day, about 4 minutes less than the threshold for a 4-star staffing rating in Texas. RN hours specifically come in at 32 minutes per resident per day, compared to 37 minutes at the 4-star threshold.
Three CMS fines total $62,745. The state median for facilities that have any fines at all is $20,699, and about 30% of Texas nursing homes have no fines on record. These three fines collectively run three times the state median.
The quality-measures rating is 5 stars — the highest tier — for long-stay residents, and 4 stars for short-stay residents. This rating reflects documented outcomes: things like rates of falls, pressure wounds, and hospitalizations among residents, drawn from clinical records submitted to CMS.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Health inspection findings
The health inspection carries a 2-star rating — ask which deficiencies drove that score and what corrective steps have been completed since.
Fines and root causes
Three CMS fines totaling $62,745 have been assessed — ask what each citation was for and how practices changed afterward.
RN coverage on nights and weekends
Reported RN hours average 32 minutes per resident per day; ask how many registered nurses are on duty during evenings, overnight, and weekends specifically.
Resident Council participation
A Resident Council exists but no Family Council — ask how family members raise concerns or receive updates about care and facility operations.
Management company responsibilities
Day-to-day operations are run by Touchstone Strategies Killeen LLC under a hospital district licensee — ask which entity is responsible for staffing decisions and complaint resolution.
Waitlist and admission timeline
With 52 to 53 residents in 64 licensed beds, ask whether a waitlist exists for the specific room type or payer category you need.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.